胆道出血的治疗体会

The experience of diagnosis on hemobilia

目的:探讨胆道出血的病因和治疗方法。方法:回顾性分析成都市第五人民医院1997～2007年收治的胆道出血患者13例的临床资料。结果:13例胆道出血患者中,行非手术治疗5例,均治愈;行手术治疗8例,其中介入治疗3例,治愈;中转开腹行肝叶切除2例,其中1例因失血性休克死亡;有1例胆道探查手术时反复取石致术后胆漏合并出血患者至今仍昏迷。结论:根据不同的病理特点,选择合适的治疗方法,可提高胆道出血的治疗效果。

Objective： To investigate the etiology and treatment of massive hemobilia. Methods： The clinical data of 13 eases of hemobilia from 1997 to 2007 in No.5 People＇s Hospital of Chengdu were retrospectively analyzed. Results： 13 cases of hemobilia, 5 of them executed non-surgical treatment had been cured;8 of them executed surgical treatment, including 3 of them cured by interventional therapy;2 of them first executed interventional therapy, and then executed hepatectomy, 1 of them died because of hemorrhagic shock; 1 of them still in a coma, which removed stone repeatedly, in the exploration the Biliary Tract, leading to biliary fistula with hemorrhage. Conclusion： Selection of proper therapy can improve the curative effect of hemobilia according to the different pathologic characteristics.